中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

II型胆囊穿孔致肝脓肿3例报告并文献复习

任少雄 梁泽 韩景钊 脱红芳 彭彦辉

引用本文:
Citation:

II型胆囊穿孔致肝脓肿3例报告并文献复习

DOI: 10.3969/j.issn.1001-5256.2022.04.031
基金项目: 

河北省2016年政府资助临床医学优秀人才培养和基础课题研究项目 (361003)

伦理学声明:本报告均已获得患者知情同意。
利益冲突声明:所有作者均声明不存在利益冲突。
作者贡献声明:任少雄负责资料分析,撰写论文; 梁泽、韩景钊负责课题设计,参与收集数据; 脱红芳负责修改论文,拟定写作思路; 彭彦辉负责指导撰写文章并最后定稿。
详细信息
    通信作者:

    彭彦辉,yhpeng1858@sina.com

Liver abscess caused by type II gallbladder perforation: A report of 3 cases and literature review

Research funding: 

The 2016 Clinical Medicine Talents Training and Basic Research Project of Hebei Provincial Government (361003)

More Information
  • 图  1  两次肝脏CT及MR对比

    注:a,第一次肝脏CT; b,第一次肝脏MR; c,第二次肝脏CT; d,第二次肝脏MR。

    Figure  1.  The comparison of twice liver CT and MR

    图  2  术中肝脓肿取石及胆囊结石

    注:a,术中可见胆囊结石; b,取出结石。

    Figure  2.  Intraoperative stone removal from liver abscess and gallstone

    图  3  两次住院肝脏CT对比

    注:a,第一次住院肝脏CT; b,第二次住院肝脏CT。

    Figure  3.  Comparison of liver CT in two hospitalizations

    图  4  第一次入院、行胆囊穿刺后及术前肝脏CT

    注:a,第一次入院肝脏CT; b,行胆囊穿刺后肝脏CT; c,手术治疗前肝脏CT。

    Figure  4.  Liver CT after the first admission, gallbladder puncture and before operation

    表  1  胆囊穿孔致肝脓肿诊疗汇总

    Table  1.   Summary of diagnosis and treatment of liver abscess caused by gallbladder perforation

    第一作者 报道年份 例数 性别 年龄 症状持续时间 治疗方案 术后住院天数(d)
    Kang MS[12] 2007 1 70岁 ERCP下放置胆囊管支架(因患者无法耐受全麻,未行根治性手术) 10
    Kochar K[13] 2008 1 67岁 3 d 经皮经肝胆囊穿刺3周后+ 开腹胆囊切除术
    Göbel T[14] 2011 1 30岁 2 d 早期胆囊切除术(腹腔镜、开放手术文中未提及) 36
    Bhatwal AS[15] 2013 1 60岁 6 d 经皮经肝胆囊穿刺术后3天后+开腹胆囊切除术 8
    Kamalesh NP[16] 2012 1 70岁 1个月 经皮经肝胆囊穿刺术+LC
    Agarwal N[17] 2013 3 18岁 3周 早期腹腔镜手术中转开腹,逆行胆囊次全切除
    40岁 2 d 早期LC
    42岁 4个月 早期LC
    Singh K[8] 2013 1 50岁 1年 开腹胆囊大部分切除术 8
    Alessiani M[18] 2014 1 77岁 经皮经肝胆囊穿刺(因患者无法耐受全麻,未行根治性手术)
    Cristian D[10] 2014 1 76岁 2周 LC 5
    Donati M[19] 2014 1 62岁 1年 腹腔镜探查+开腹肝部分切除+胆囊切除+脓肿清除术 4
    Hanson B[20] 2014 1 62岁 经皮经肝胆囊穿刺(患者终末期肝病,不耐受手术)
    Hussain T[1] 2016 2 72岁 12 d 经皮经肝胆囊穿刺+延期LC(延期时间未提及)
    62岁 2周 经皮经肝胆囊穿刺+延期LC(延期时间未提及)
    Williams P[5] 2017 1 61岁 ERCP下放置胆囊管支架+6周后行LC
    Nikumbh T[21] 2020 2 55岁 10 d 腹腔镜胆囊次全切除
    28岁 腹腔镜胆囊次全切除
    Chikamori F[22] 2020 1 87岁 经皮肝胆囊穿刺 33
    注:LC,腹腔镜下胆囊切除术; ERCP,经内镜逆行胰胆管造影术。
    下载: 导出CSV
  • [1] HUSSAIN T, ADAMS M, AHMED M, et al. Intrahepatic perforation of the gallbladder causing liver abscesses: Case studies and literature review of a rare complication[J]. Ann R Coll Surg Engl, 2016, 98(6): e88-e91. DOI: 10.1308/rcsann.2016.0115.
    [2] WANG C, NING SL, YAN YH, et al. Liver abscess caused by gallbladder perforation misdiagnosed as cholangiocarcinoma: A case report[J]. J Hepatopancreatobiliary Surg, 2017, 29(5): 424-425. DOI: 10.11952/j.issn.1007-1954.2017.05.019.

    王晨, 宁势力, 闫禹含, 等. 胆囊穿孔致肝脓肿误诊为胆管癌一例[J]. 肝胆胰外科杂志, 2017, 29(5): 424-425. DOI: 10.11952/j.issn.1007-1954.2017.05.019.
    [3] CHEN J. Two cases of liver abscess secondary to gallbladder perforation[J]. Sichuan Med J, 2001, 22(4): 410-411. DOI: 10.3969/j.issn.1004-0501.2001.04.077.

    陈健. 继发胆囊穿孔肝脓肿2例[J]. 四川医学, 2001, 22(4): 410-411. DOI: 10.3969/j.issn.1004-0501.2001.04.077.
    [4] SAHBAZ NA, PEKER KD, KABULI HA, et al. Single center experience in laparoscopic treatment of gallbladder perforation[J]. Wideochir Inne Tech Maloinwazyjne, 2017, 12(4): 372-377. DOI: 10.5114/wiitm.2017.72321.
    [5] WILLIAMS P, DOSANI A, MORGAN-JONES R. Endoscopic cystic duct stent as primary treatment for intrahepatic gallbladder perforation with abscess formation[J]. Ann R Coll Surg Engl, 2017, 99(4): e118-e120. DOI: 10.1308/rcsann.2017.0047.
    [6] DU Q. Characteristic manifestations and clinical analysis of 41 cases of acute abdomen with gallbladder perforation[D]. Taiyuan: Shanxi Medical University, 2019.

    杜青. 41例胆囊穿孔的急腹症特征性表现及临床分析[D]. 太原: 山西医科大学, 2019.
    [7] COSTI R, LE BIAN A, CAUCHY F, et al. Synchronous pyogenic liver abscess and acute cholecystitis: How to recognize it and what to do (emergency cholecystostomy followed by delayed laparoscopic cholecystectomy)[J]. Surg Endosc, 2012, 26(1): 205-213. DOI: 10.1007/s00464-011-1856-1.
    [8] SINGH K, SINGH A, VIDYARTHI SH, et al. Spontaneous intrahepatic type Ⅱ gallbladder perforation: A rare cause of liver abscess - case report[J]. J Clin Diagn Res, 2013, 7(9): 2012-2014. DOI: 10.7860/JCDR/2013/6069.3389.
    [9] TANG S, WANG Y, WANG Y. Contrast-enhanced ultrasonography to diagnose gallbladder perforation[J]. Am J Emerg Med, 2013, 31(8): 1240-1243. DOI: 10.1016/j.ajem.2013.04.034.
    [10] CRISTIAN D, GRAMA F, BURCOŞ T. Laparoscopic treatment of a hepatic subcapsular abscess secondary to gallbladder perforation: Case report[J]. Chirurgia (Bucur), 2014, 109(1): 132-135.
    [11] LIU DX, ZHOU D, WANG LF. MRI features and diagnosis of gallbladder carcinoma and local invasion of gallbladder carcinoma[J]. Chin J Med Physics, 2019, 36(3): 322-325. DOI: 10.3969/j.issn.1005-202X.2019.03.015.

    刘东旭, 周丹, 王利峰. 胆囊癌及其病灶局部侵犯的MRI诊断及影像学特征[J]. 中国医学物理学杂志, 2019, 36(3): 322-325. DOI: 10.3969/j.issn.1005-202X.2019.03.015.
    [12] KANG MS, PARK DH, KWON KD, et al. Endoscopic transcystic stent placement for an intrahepatic abscess due to gallbladder perforation[J]. World J Gastroenterol, 2007, 13(9): 1458-1459. DOI: 10.3748/wjg.v13.i9.1458.
    [13] KOCHAR K, VALLANCE K, MATHEW G, et al. Intrahepatic perforation of the gall bladder presenting as liver abscess: Case report, review of literature and Niemeier's classification[J]. Eur J Gastroenterol Hepatol, 2008, 20(3): 240-244. DOI: 10.1097/MEG.0b013e3282eeb520.
    [14] GÖBEL T, KUBITZ R, BLONDIN D, et al. Intrahepatic type Ⅱ gall bladder perforation by a gall stone in a CAPD patient[J]. Eur J Med Res, 2011, 16(5): 213-216. DOI: 10.1186/2047-783x-16-5-213.
    [15] BHATWAL AS, DEOLEKAR SR, KARANDIKAR SS. An unusual presentation of gall bladder perforation with hepatic subcapsular collection[J]. Indian J Surg, 2013, 75(Suppl 1): 261-265. DOI: 10.1007/s12262-012-0581-x.
    [16] KAMALESH NP, PRAMIL K, PRAKASH K. Intrahepatic rupture of empyema gallbladder[J]. Indian J Gastroenterol, 2012, 31(5): 280. DOI: 10.1007/s12664-012-0230-0.
    [17] AGARWAL N, SAINI P, GUPTA A, et al. Chronic hepatic abscess due to gallbladder perforation: Three cases and exact nomenclature[J]. Trop Gastroenterol, 2013, 34(3): 199-202.
    [18] ALESSIANI M, PELOSO A, TRAMELLI P, et al. Successful non-operative management of spontaneous type Ⅱ gallbladder perforation in a patient with Alzheimer's disease[J]. BMJ Case Rep, 2014, 2014: bcr2014204337. DOI: 10.1136/bcr-2014-204337.
    [19] DONATI M, BIONDI A, BASILE F, et al. An atypical presentation of intrahepatic perforated cholecystitis: A modern indication to open cholecystectomy. Report of a case[J]. BMC Surg, 2014, 14: 6. DOI: 10.1186/1471-2482-14-6.
    [20] HANSON B, ROAT J, POCHA C. Cholecystitis and gallbladder perforation in cirrhotic patients: A clinical dilemma[J]. Dig Liver Dis, 2014, 46(10): 960-961. DOI: 10.1016/j.dld.2014.05.018.
    [21] NIKUMBH T, BHANDARWAR A, SANAP S, et al. Laparoscopic management of intra-hepatic gallbladder perforation[J]. J Minim Access Surg, 2020, 16(1): 77-79. DOI: 10.4103/jmas.JMAS_267_18.
    [22] CHIKAMORI F, YUKISHIGE S, UETA K, et al. Hemoperitoneum and sepsis from transhepatic gallbladder perforation of acute cholecystitis: A case report[J]. Radiol Case Rep, 2020, 15(11): 2241-2245. DOI: 10.1016/j.radcr.2020.08.064.
    [23] HU FL, SHANG D, ZHANG HX, et al. A review of Tokyo Guidelines 2018 for the management of acute biliary infections[J]. Chin J Pract Surg, 2018, 38(7): 763-766. DOI: 10.19538/j.cjps.issn1005-2208.2018.07.15.

    胡凤林, 尚东, 张浩翔, 等. 《东京指南(2018)》急性胆道感染诊疗策略更新解读[J]. 中国实用外科杂志, 2018, 38(7): 763-766. DOI: 10.19538/j.cjps.issn1005-2208.2018.07.15.
    [24] HUANG QQ, WANG YD, XU QQ, et al. Application of laparoscopic subtotal cholecystectomy with ductus cysticus open in acute suppurative cholecystitis[J]. J Laparo Surg, 2021, 26(8): 627-629. DOI: 10.13499/j.cnki.fqjwkzz.2021.08.627.

    黄倩倩, 王亚栋, 徐倩倩, 等. 腹腔镜胆囊大部切除胆囊管旷置术在急性化脓性胆囊炎中的应用[J]. 腹腔镜外科杂志, 2021, 26(8): 627-629. DOI: 10.13499/j.cnki.fqjwkzz.2021.08.627.
    [25] HAN JZ, TUO HF, WANG ZP, et al. Research advances in percutaneous cholecystostomy in treatment of acute cholecystitis[J]. J Clin Hepatol, 2021, 37(8): 1983-1987. DOI: 10.3969/j.issn.1001-5256.2021.08.052.

    韩景钊, 脱红芳, 王泽普, 等. 经皮胆囊造瘘术治疗急性胆囊炎的研究进展[J]. 临床肝胆病杂志, 2021, 37(8): 1983-1987. DOI: 10.3969/j.issn.1001-5256.2021.08.052.
    [26] KRISHNAMURTHY G, GANESAN S, RAMAS J, et al. Early laparoscopic cholecystectomy in acute gallbladder perforation: Single-centre experience[J]. J Minim Access Surg, 2021, 17(2): 153-158. DOI: 10.4103/jmas.JMAS_176_19
  • 加载中
图(4) / 表(1)
计量
  • 文章访问数:  445
  • HTML全文浏览量:  143
  • PDF下载量:  35
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-08-16
  • 出版日期:  2022-04-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回